2010 Development Conference November 3-5, 2010 | Grand Hotel Marriott, Point Clear AL
Credit Union Information - All Fields Are Required Credit Union: ____________________________________________________________________ Address: _______________________________________________________________________
Early B Octobird Deadl in er 1, 2010 e:
City: __________________________________________________________________________ State: _________________ Zip: ___________ Phone: __________________ Extension: ______ Contact Person: __________________________________________________________________ Title: ______________________________ Email Address: _______________________________
Name, Title, & Email
Early Bird Registration for Attendees Deadline: Oct 1, 2010
Conference Registration for Attendees
Conference Registration for Guests
Post: Oct 1, 2010
These events are open to attendees, guests, and exhibitors.
Leadership Council Pre-Conference Workshops
Spouse & Guest Session: Historic Tour & Luncheon
Offsite Sunrise Sailboat Cruise & Breakfast
Total ____
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Golf Tournament
Governmental Affairs Luncheon
CFO IT HR LEND OPS MKTG
__Attendee __ Guest
CFO IT HR LEND OPS MKTG
__Attendee __ Guest
CFO IT HR LEND OPS MKTG
__Attendee __ Guest
CFO IT HR LEND OPS MKTG
__Attendee __ Guest
Total ____
Total ____
Total ____
Early Bird Registration for Attendees (Deadline: October 1, 2010)
_____ @ $495 per attendee
= _____
Conference Registration for Attendees
_____ @ $525 per attendee
= _____
Conference Registration for Guests
_____ @ $175 per attendee
= _____
Leadership Council Workshops (Check the Council You Will Attend)
_____ @ $95 per attendee
= _____
Spouse & Guest Session: Historic Tour & Luncheon
_____ @ $80 per attendee
= _____
Offsite Sunrise Sailboat Cruise & Continental Breakfast
_____ @ $50 per attendee
= _____
LEVERAGE Golf Tournament (Includes Continental Breakfast & Lunch)
_____ @ $150 per player
= _____
Governmental Affairs Luncheon
_____ @ $50 per attendee
= _____
Includes Education Sessions, General Sessions, Continental Breakfast, & All Exhibit Hall Sessions
Includes Education Sessions, General Sessions, Continental Breakfast, & All Exhibit Hall Sessions
Total $____
Total ____
Total ____ Total ____
The following players would like to play in the LEVERAGE golf tournament:: Player’s Name
Credit Union Name
Handicap/ Average Score
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Payment Information Three Easy Steps to Register for the LSCU Development Conference
Pay By Check Pay By Credit Card
1. Carefully read, review, and complete this registration form.
VISA MasterCard
2. Fax credit card registration payments to Becki Payne at 205.991.2229. Mail check registration payments to LSCU Development Conference, PO Box 380428, Birmingham AL 35238. 3. The registration process will be delayed if registration form is received without a check or credit card information. Mail this form along with payment to: LSCU Development Conference PO Box 380428 Birmingham, AL 35238 Questions? Call the Education Department at 866.231.0545, x2129 or email Becki Payne at becki.payne@lscu.coop.
Total $______ Total $______
CREDIT CARD AUTHORIZATION
__________________________________________________________________ Credit Card Number Expiration Date __________________________________________________________________ Cardholder’s Billing Address __________________________________________________________________ City/State/Zip __________________________________________________________________ Print Name __________________________________________________________________ Authorized Signature __________________________________________________________________ V Number (three digit number found on back of card)
Please make sure you fill out the entire registration form with attendee name, title, and email address so that all pertinent information can be managed prior to attendees arriving on property. See you in Point Clear!
The Early Bird registration deadline is Friday, October 1, 2010. All registrations received after this date will be charged at the regular conference registration rate. All cancellations must be in writing and received by the League of Southeastern Credit Unions prior to October 27, 2010, and will incur a $75 cancellation fee. No refunds will be issued for cancellations made on or after October 27, 2010, only substitutions.
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